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Identifying Prenatal Alcohol Use: Screening Instruments Versus Clinical Predictors
Author(s) -
Chang Grace,
Goetz Margaret Ann,
WilkinsHaug Louise,
Berman Susan
Publication year - 1999
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1080/105504999305884
Subject(s) - medicine , receiver operating characteristic , audit , prenatal screening , prenatal alcohol exposure , prenatal care , pregnancy , obstetrics , prenatal diagnosis , fetus , environmental health , management , biology , economics , genetics , population
The purpose of this study is to compare the accuracy of screening instruments with clinical predictors in the identification of prenatal alcohol use. 350 women initiating prenatal care at the Brigham and Women's Hospital (Boston, MA) completed the T‐ACE, AUDIT, and SMAST. The predictive accuracy of each was compared using Receiver Operating Characteristic (ROC) curve analysis. The T‐ACE, AUDIT, and clinical predictors alone correctly identified 65 to 70% of current drinkers, whereas the SMAST alone performed only slightly better than chance. The predictive ability of the T‐ACE was further improved with the addition of clinical predictors.